I Can Talk to the Internal Organs-Chapter 220 - 187: Uterine Fibroids

Poria, Atractylodes, ginger, white peony, roasted aconite.

Lu Jiu gathered these five herbs; this prescription is the classic prescription Zhenwu Decoction.

In fact, the naming of classic prescriptions is very particular.

Zhen also means quiet, while Wu represents Xuanwu, which is in the north, governing water.

Zhenwu Decoction is the best among classic prescriptions for pacifying water.

Here, Lu Jiu prescribed Zhenwu Decoction for Chang Qing, with a higher amount of Poria than Atractylodes, ensuring better water expulsion. Roasted aconite serves to warm Yang and transform water; after entering the body, it can raise the water temperature, ensuring the cold water can be vaporized, while white peony and ginger are used to tonify deficiency.

In the past, aconite and licorice were used together, but here it's unnecessary because the patient already has excess cold and dampness, which needs to be drained. Adding licorice would be counterproductive. Besides, the toxicity of roasted aconite is not strong, so taking it doesn't cause significant problems.

Moreover, the dosage prescribed by Lu Jiu is very small, with only fifteen grams per dose.

In a hospital setting, this dosage would definitely require a report because the maximum allowable amount of aconite, according to the pharmacopoeia, is fifteen grams. This exact amount might not be illegal, but you'd have to report it to the management.

Thus, in private clinics, there's a benefit; you can prescribe any amount of aconite as long as the patient doesn't experience issues.

Of course, if you were to prescribe dozens or hundreds of grams of aconite, Lu Jiu wouldn't dare to let the patient take it home to prepare. If anything went wrong, he couldn't bear such responsibility.

The pharmacopoeia isn't just a formality.

If violations result in accidents, the clinic might be closed, the right to practice medicine could be revoked, or, more severely, legal action might follow.

After prescribing the medicine, Lu Jiu handed it to Chang Qing.

He didn't call the next patient but instead approached the elderly man to start acupuncture treatment.

Due to the prompt discovery of cerebral hemorrhage, the elderly man was prevented from developing a stroke, making follow-up treatment less complex.

In fact, the hypertension of this elderly man, from a pathological point of view, is similar to that of the uncle with prostate issues earlier.

Essentially, it's still Qi deficiency and blood stasis, with poor circulation in the lower Jiao. The heart is compelled to raise blood pressure to increase blood flow speed, but this excessive rush causes the already fragile blood vessels of the elderly man to burst, resulting in cerebral hemorrhage.

Furthermore, the elderly man might also suffer from Kidney Essence deficiency.

But as people age, Kidney Essence deficiency is common.

In this era, if you're seventy or eighty and still have abundant Kidney Essence, you're more like an immortal than a human.

It's like how many Daoists in ancient times practiced alchemy, claiming that taking this pill or that would turn them into immortals.

Whether or not they became immortals is not of our concern.

What I'm saying is, if you can consume heavy metals daily and not die, then what else could you be but an immortal?

After carefully checking the elderly man's pulse again and confirming no other issues, Lu Jiu simply applied some needles and used Mountain Burning Fire to regulate his Qi and blood, gradually warming the elderly man's body and making him feel less disoriented.

He then prescribed a dose of Zhenwu Decoction for the elderly man as well.

However, the dosage of roasted aconite was tripled compared to that given to the uncle earlier. 𝘧𝑟𝑒𝑒𝘸𝘦𝘣𝑛𝑜𝘷𝑒𝓁.𝘤𝘰𝓂

This time, Lu Jiu did not hand the medicine over to the elderly man; instead, he personally heated up the stove and decocted the medicine for him.

"Dr. Lu, is it my turn?"

Seeing Lu Jiu put the Chinese herbs into the clay pot, the next patient in line had already sat down at Lu Jiu's small consultation table.

Lu Jiu approached with a smile, "Hehehe, how do you do?"

The lady smiled, revealing a seemingly missing tooth, "My name is Pan Xiaohua, I'm from out of town."

Lu Jiu asked with a smile, "What's bothering you?"

Pan Xiaohua frowned, "I was diagnosed with uterine fibroids at the hospital."

Uterine fibroids?

Lu Jiu asked, "Did you have surgery?"

Pan Xiaohua shook her head, "No, the doctor said the tumors are small in diameter, not too numerous, and are growing slowly. So for now, observation and conservative treatment are suggested. If they worsen, and necrosis occurs, surgery would then be necessary."

Lu Jiu sighed in relief, "That's good then."

Pan Xiaohua questioned, "Is surgery not advisable?"

Lu Jiu responded, "Not in my practice. As long as there's no surgery and it hasn't worsened, this condition isn't difficult to treat."

Pan Xiaohua smiled, "I knew you could handle it, Dr. Lu. After all, you can treat breast cancer, so mine should be a minor issue."

Lu Jiu felt amused yet helpless.

It seems that this lady has come after watching Zhang Zhengli's video.

Lu Jiu said, "Not judging it as a minor issue like that. Let me check your pulse first."

Though a hospital confirmed uterine fibroids, that doesn't mean Pan Xiaohua only has fibroids.

Generally speaking, females with uterine fibroids might have Qi deficiency and blood stasis.

If a tumor can grow in the uterus, it suggests insufficient fire in the small intestine. When the small intestine doesn't have enough fire, the lower Jiao likely has cold damp.

With cold damp in the lower Jiao, the circulation among the Triple Jiao becomes poor, and in cases of poor Qi and blood flow, encountering cold dampness would definitely lead to Qi deficiency and blood stasis as confirmed.

Encountering three patients with Qi deficiency and blood stasis consecutively left Lu Jiu unsure of what to say.

It's probably just a constitution issue.

Individuals with cold damp constitutions are just out of luck in the year of Five Elements and Six Qi.

But why does the constitution tend towards cold damp? This is worth exploring.

"Dr. Lu, everyone says you can tell everything with a pulse diagnosis. When you place your hand on my wrist, do you have images of everything I did every day?" Pan Xiaohua asked.

Uhm...

You do have quite an imagination!

Even visualizing it.

"If I could do that, I'd help the police solve cases instead of treating patients," Lu Jiu replied with a laugh.

"Part-time; handle both roles," Pan Xiaohua laughed.

"No time for that," Lu Jiu replied.

"Hey, Dr. Lu, can you see what I ate yesterday?" Pan Xiaohua curiously looked at Lu Jiu.

"... No," Lu Jiu responded.

"You're lying; you pointed out that guy's prostate issue without him saying anything and even knew he went to the hospital. Surely, you can figure me out too, right?" Pan Xiaohua said.

"Ma'am, are you from the Northeast?" Lu Jiu asked.

"How did you know? Can pulse diagnosis tell where a person is from?" Pan Xiaohua asked in surprise.

"No, actually. I inferred it from your accent," Lu Jiu explained.

"Accent? I don't have an accent!" Pan Xiaohua replied.

"Uh... Let's not chat too much; focusing on the diagnosis is important," Lu Jiu said.

"Does talking interfere with your pulse diagnosis? Okay, I won't say anything," Pan Xiaohua replied.

Phew~~

Can she chat!

Lu Jiu's first encounter with such a talkative Northeasterner.

Usually, he enjoys conversing with such individuals, for they naturally bring joy. Just hearing them speak can be entertaining.

But right now, he needs to diagnose her, and with Pan Xiaohua being so chatty, he couldn't even listen to her pulse.

Fortunately, this lady is quite understanding and straightforward, stopping immediately when asked.

Finally, Lu Jiu could listen quietly to the Five Viscera "talking"...